Due to growth, we are adding a Sr. Staff Attorney to our team!
The Sr. Staff Attorney will assist the Navitus Chief Legal Officer, Deputy General Counsel, or Assistant General Counsel, Contracts, and be responsible for drafting legal documents and templates, managing document templates and corporate legal records, performing records and legal research and preparing correspondence under limited supervision.
Due to growth, we are adding a Project Manager, Regulatory Implementation to our team!
The Project Manager, Regulatory Implementation is responsible for creating and executing project artifacts including project plans, communication plans, resource plans, and other tools used to guide teams in meeting project goals within defined scope and timelines. This role ensures the organization adheres to relevant laws, state regulations, and internal policies by assessing compliance risks, providing insightful guidance, and...
Due to growth, we are adding a Portfolio Value Manager, EPMO to our team!
The Portfolio Value Manager, EPMO is responsible for ensuring that enterprise initiatives deliver measurable business value across assigned portfolios. The Portfolio Value Manager partners with business and technology leaders to define, evaluate, and refine portfolio projects/epics and to provide transparency into value, benefits, dependencies, progress, barriers, and...
Due to growth, we are adding a Paralegal to our team!
This is a hybrid position in Madison WI
The Paralegal will support Navitus, Lumicera, and...
Due to growth, we are adding a Director, Pharmacy Wholesaler Relations & Contracting to our team.
Reporting to the VP, Supply Chain, the Director, Wholesaler Relations & Contracting is responsible for leading all wholesaler and distributor facing contracting strategies that optimize cost, access, and financial value for Lumicera and its GPO member pharmacies. This role oversees negotiations with drug wholesalers, distributors, and suppliers to secure competitive pricing, strengthen supply chain reliability, and support profitable procurement models.
The Director serves as the organization’s primary leader for wholesaler...
The IT Strategic Sourcing Lead/Vendor Procurement Principal is an individual contributor role responsible for driving complex vendor negotiation and acquisition that align with enterprise strategy transformation objectives.
This position ensures that large IT procurement activities support modernization initiatives, regulatory compliance, and operational efficiency under the Strategic Transformation Officer (STO). This role promotes critical advisory and sourcing to ensure support for business initiatives ensuring operational efficiency, scalability, and innovation.
This role collaborates with existing organizational vendor-related roles and external consultants to...
Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a self-motivated project management professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a motivated project manager who can grow with the company to buildout and lead large projects. The successful candidate will work directly with clients to ensure deliverables fall within the applicable scope, timing and budget. We are looking for a creative and dedicated individual who will fit with...
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
Navitus Health Solutions is seeking a Pharmacy Network Reporting Specialist to join our team!
The Reporting Specialist, Pharmacy Network will play a key role in supporting the analytical operations of the Provider Services department. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creations that...
Due to growth, we are adding a Senior Analyst, Network Contracting to join our team!
The Senior Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. ...
Navitus Health Solutions is seeking a Network Contracting Analyst to join our team!
The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the network strategy to deliver value to Navitus clients. The primary responsibilities of this role are to analyze current and new pharmacy contracts and provide support for all phases of the pharmacy contracting process, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for all lines of business.
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states.
The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.
The Call Center Team Lead will assist the Call Center Supervisor in managing the performance of the call center to meet established SLA's in addition to assisting with both Inbound and Outbound calls. A deep understanding of Archimedes’ culture and mission is vital to the success of this position.
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Representatives. This position is responsible for delivering excellent service to members utilizing processes and technology within a call center. If you are dependable with strong problem-solving and customer service skills apply now! This is an in office position.
Due to growth, we are adding a Human Resources Generalist to our team!
This is a Hybrid position out of our Appleton WI locations.
The Human...
Navitus Health Solutions is seeking a Human Resources Generalist to join our team!
This is a Hybrid position out of our Madison WI location.
The Human Resources Generalist provides front-line HR support to enterprise HR functions, assisting in the execution of HR programs, policies, and procedures. This role supports associate engagement, onboarding, training, benefits, leave administration, and compliance with employment laws. The HR Generalist serves as a key contact for associate relations and supports daily HR operations under the guidance of...
Lumicera Health Services is seeking a Clinical Liaison to join our team!
The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.
Is this you? Find out more below!
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
Lumicera Health Services is seeking a Reimbursement Specialist Team Lead to join our team!
Under direction from the Supervisor or Assoc. Manager, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist Team Lead is primarily responsible for following standard operating procedures to monitor, review and investigate claim submissions and responses. Additionally, the Reimbursement Team Lead will provide guidance and corrective action to applicable pharmacy staff. The Reimbursement Specialist Team Lead shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. This...
Due to growth, we are adding a Specialist, Workforce Management to our team!
The Specialist, Workforce Management. is responsible for supporting workforce management setup, scheduling, analysis, forecasting, etc. to ensure internal and external service levels commitments are achieved. The WFM Specialist performs basic troubleshooting with the workforce management systems including input and output systems and escalates as necessary. This individual will review available data or requests new reports to make recommendations on...
Due to growth, we are adding a Business Intelligence (BI) Developer to our team!
This is a hybrid role in Madison WI
The Business Intelligence (BI) Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The BI Developer will have an intermediate...
Navitus Health Solutions is seeking a Director, Clinical Account Management to join our team!
The Director, Clinical Account Management leads a team of Clinical Account Executives to deliver exceptional clinical strategies and support for health plans, employers, and consultants. This role ensures clinical programs align with client objectives, drives retention and growth, and serves as a strategic partner to internal and external stakeholders. The Director will oversee operational excellence, team development, and execution of clinical...
Join us as the HR Business Partner for our Technology division and help shape one of the fastest‑moving parts of our organization. You’ll partner directly with tech leaders using your experience supporting HR processes with IT and technical divisions to solve real people challenges, build high‑performing teams, and drive meaningful change. This is an addition to headcount for our organization.
We’re looking for a proactive, HRBP who shows up as a true partner with our IT and technical Operations team. This is someone who can navigate complexity, move quickly, and balance strategic thinking with hands‑on execution. If you thrive in dynamic environments and have experience working alongside the IT and Technical...
Due to growth, we are adding a Sr. Analyst, Data Governance to our team!
The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven...
Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM, health plan, or managed care environment to join our team! This is not a call center or general operations leadership roles.
The Director, Technical Operations (DTO) is responsible for providing regulatory interpretation, operational expertise and oversight of technical programs for Government Programs which include enrollment/eligibility, regulatory encounter submission and reconciliation, claims adjudication accuracy, EOB Administration, recoveries processes, EGWP enrollment, coordination of benefits,...
Due to growth, we are adding a Manager, Analytics & Data to our team!
The Manager, Analytics & Data is responsible for engaging internal and external customers to develop the enterprise data and analytics solutions that bring business value by providing critical, accurate and timely information. This role will be instrumental in promoting data-driven decision making and adoption of business intelligence...
Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!
Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior...
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Due to growth, we are adding a Solutions Architect to our team!
Navitus Health Solutions is seeking a Platform Engineering and FinOps Manager to join our team!
The Manager, Platform Engineering and FinOps leads a team focused on enabling secure, scalable, and cost-effective software delivery platforms. This role oversees platform engineering functions such as CI/CD pipelines, developer tooling, and container orchestration, observability, while also managing the cloud financial operations (FinOps) and software procurement functions. This role partners closely with the Infrastructure and Cloud Operations team to ensure alignment on tooling, architecture, platform reliability and cost governance.
The Manager,...
Are you interested in working Monday to Friday (NO WEEKENDS) in a clean, bright environment with heat, air conditioning and best-in-class health benefits?
Lumicera Health Services is seeking a Pharmacy Technician at our Madison Facility! This role works at our state-of-the-art warehouse and is not in person patient-facing.
Lumicera Health Solutions is seeking a Specialty Pharmacy Clinical Intern to join our team!
The Specialty Pharmacy Clinical Intern will perform telephonic consultations with patients regarding the use of their specialty medication from and management of their disease state. The primary responsibility of this position is to effectively communicate with patients, physicians, pharmacists, and payers in the fulfillment and patient care of specialty pharmacy medications. Additionally, this role will assess patient needs, perform medication reconciliation, and conduct properly document patient encounters and clinical interventions. The Clinical Intern is part of our experiential learning team and will interact with a variety of operations-based associates including...
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states.
The Product Account Manager will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies.
The Product Account Manager will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary
The Product Account Lead will support a key account and product. In addition to supporting the client relationship, this role will lead product management and project manage operational projects for this product. The role will be responsible for managing any client requests for builds and any necessary drug lists and formularies.
The Product Account Lead will interact with the account, product, and clinical management teams. This role will be responsible for managing and implementing any client specific product specific requirements, such as a custom formulary
Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!
Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to...
Due to growth we are adding an Intake Specialist to our team!
Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible...
Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
This role will be divided into two areas: first review of prior authorization of specialty medications against clinical policies, high cost case management support functions and internal clinical process development and maintenance activities. In addition, this...
Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In...
Due to growth, we are adding a Patient Care Assistant to our team!
Under general direction of the Supervisor, Pharmacy Services the person employed in this Patient Care Assistant/ Customer Service position will assist with the Specialty Pharmacy programs. Primary responsibility is to effectively communicate with patients, physicians, pharmacists, and payers to assist in the fulfillment and patient care of specialty pharmacy...
Due to growth, we are adding an Enterprise Solutions Architect to our IT Enterprise Architecture department.